{"id":"https://openalex.org/W7225404683","doi":"https://doi.org/10.1186/s12909-026-10803-9","title":"Lifelong learning in nursing: attitudes and practices behind sustained professional competence","display_name":"Lifelong learning in nursing: attitudes and practices behind sustained professional competence","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225404683","doi":"https://doi.org/10.1186/s12909-026-10803-9"},"language":"en","primary_location":{"id":"doi:10.1186/s12909-026-10803-9","doi":"https://doi.org/10.1186/s12909-026-10803-9","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12909-026-10803-9","pdf_url":null,"source":{"id":"https://openalex.org/S144187503","display_name":"BMC Medical Education","issn_l":"1472-6920","issn":["1472-6920"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Education","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12909-026-10803-9","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161027186","display_name":"Soheila Hosseini","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I204331812","display_name":"Guilan University of Medical Sciences","ror":"https://ror.org/04ptbrd12","country_code":"IR","type":"education","lineage":["https://openalex.org/I204331812","https://openalex.org/I4210110574"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Soheila Hosseini","raw_affiliation_strings":["Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran","institution_ids":["https://openalex.org/I204331812"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113951864","display_name":"Asieh Sedighi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I204331812","display_name":"Guilan University of Medical Sciences","ror":"https://ror.org/04ptbrd12","country_code":"IR","type":"education","lineage":["https://openalex.org/I204331812","https://openalex.org/I4210110574"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Asieh Sedighi-Chafjiri","raw_affiliation_strings":["Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran","institution_ids":["https://openalex.org/I204331812"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005662269","display_name":"Rasoul Tabari-Khomeiran","orcid":"https://orcid.org/0000-0002-7211-8660","observed_orcids":["https://orcid.org/0000-0002-7211-8660"]},"institutions":[{"id":"https://openalex.org/I204331812","display_name":"Guilan University of Medical Sciences","ror":"https://ror.org/04ptbrd12","country_code":"IR","type":"education","lineage":["https://openalex.org/I204331812","https://openalex.org/I4210110574"]}],"countries":["IR"],"is_corresponding":true,"raw_author_name":"Rasoul Tabari-Khomeiran","raw_affiliation_strings":["Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran","institution_ids":["https://openalex.org/I204331812"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5005144675","display_name":"Ehsan Kazemnejad","orcid":"https://orcid.org/0000-0002-9195-9094","observed_orcids":["https://orcid.org/0000-0002-9195-9094"]},"institutions":[{"id":"https://openalex.org/I204331812","display_name":"Guilan University of Medical Sciences","ror":"https://ror.org/04ptbrd12","country_code":"IR","type":"education","lineage":["https://openalex.org/I204331812","https://openalex.org/I4210110574"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Ehsan Kazemnejad","raw_affiliation_strings":["Department of Biostatistics, School of Health, Guilan University of Medical Sciences, Rasht, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics, School of Health, Guilan University of Medical Sciences, Rasht, Iran","institution_ids":["https://openalex.org/I204331812"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5005662269"],"corresponding_institution_ids":["https://openalex.org/I204331812"],"apc_list":{"value":2990,"currency":"USD","value_usd":2990},"apc_paid":{"value":2990,"currency":"USD","value_usd":2990},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12244","display_name":"Healthcare Education and Workforce Issues","score":0.673799991607666,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12244","display_name":"Healthcare Education and Workforce Issues","score":0.673799991607666,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.20720000565052032,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10186","display_name":"Nursing education and management","score":0.066600002348423,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lifelong-learning","display_name":"lifelong learning","score":0.9539999961853027},{"id":"https://openalex.org/keywords/nursing","display_name":"nursing","score":0.4180000126361847},{"id":"https://openalex.org/keywords/professional-competence","display_name":"professional competence","score":0.984000027179718},{"id":"https://openalex.org/keywords/continuing-professional-development","display_name":"continuing professional development","score":0.7400000095367432},{"id":"https://openalex.org/keywords/nurses-attitudes","display_name":"nurses' attitudes","score":0.8140000104904175},{"id":"https://openalex.org/keywords/nurses-practices","display_name":"nurses' practices","score":0.5910000205039978},{"id":"https://openalex.org/keywords/teaching-hospitals","display_name":"teaching hospitals","score":0.8339999914169312},{"id":"https://openalex.org/keywords/continuing-education-programs","display_name":"continuing education programs","score":0.6779999732971191},{"id":"https://openalex.org/keywords/organizational-support","display_name":"organizational support","score":0.6190000176429749}],"concepts":[{"id":"https://openalex.org/C2777626052","wikidata":"https://www.wikidata.org/wiki/Q516445","display_name":"Bachelor","level":2,"score":0.6796000003814697},{"id":"https://openalex.org/C100521375","wikidata":"https://www.wikidata.org/wiki/Q2015382","display_name":"Competence (human resources)","level":2,"score":0.6503999829292297},{"id":"https://openalex.org/C105776082","wikidata":"https://www.wikidata.org/wiki/Q617473","display_name":"Likert scale","level":2,"score":0.5817000269889832},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.5784000158309937},{"id":"https://openalex.org/C108771440","wikidata":"https://www.wikidata.org/wiki/Q368475","display_name":"Lifelong learning","level":2,"score":0.5723000168800354},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.5590999722480774},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.46369999647140503},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.45509999990463257},{"id":"https://openalex.org/C131634798","wikidata":"https://www.wikidata.org/wiki/Q828812","display_name":"Continuing professional development","level":3,"score":0.448199987411499},{"id":"https://openalex.org/C2780319001","wikidata":"https://www.wikidata.org/wiki/Q6500754","display_name":"Work experience","level":3,"score":0.4440999925136566},{"id":"https://openalex.org/C3019512768","wikidata":"https://www.wikidata.org/wiki/Q3399675","display_name":"Positive attitude","level":2,"score":0.4410000145435333},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.43160000443458557},{"id":"https://openalex.org/C51067260","wikidata":"https://www.wikidata.org/wiki/Q828812","display_name":"Professional development","level":2,"score":0.4239000082015991},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4162999987602234},{"id":"https://openalex.org/C2988064887","wikidata":"https://www.wikidata.org/wiki/Q828748","display_name":"Continuing education","level":2,"score":0.3747999966144562},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.3662000000476837},{"id":"https://openalex.org/C113616995","wikidata":"https://www.wikidata.org/wiki/Q13378080","display_name":"Nurse education","level":2,"score":0.31700000166893005},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.31150001287460327},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.3089999854564667},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.30720001459121704},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.3028999865055084},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.28999999165534973},{"id":"https://openalex.org/C2993868924","wikidata":"https://www.wikidata.org/wiki/Q163727","display_name":"Bachelor degree","level":2,"score":0.2838999927043915},{"id":"https://openalex.org/C47177190","wikidata":"https://www.wikidata.org/wiki/Q207137","display_name":"Curriculum","level":2,"score":0.28220000863075256},{"id":"https://openalex.org/C110131835","wikidata":"https://www.wikidata.org/wiki/Q1153659","display_name":"Self-efficacy","level":2,"score":0.2770000100135803},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.273499995470047},{"id":"https://openalex.org/C3019644165","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing staff","level":2,"score":0.2689000070095062},{"id":"https://openalex.org/C540791928","wikidata":"https://www.wikidata.org/wiki/Q7248099","display_name":"Professional studies","level":3,"score":0.2621000111103058},{"id":"https://openalex.org/C2910083013","wikidata":"https://www.wikidata.org/wiki/Q163727","display_name":"Baccalaureate Degree","level":3,"score":0.2529999911785126}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s12909-026-10803-9","doi":"https://doi.org/10.1186/s12909-026-10803-9","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12909-026-10803-9","pdf_url":null,"source":{"id":"https://openalex.org/S144187503","display_name":"BMC Medical Education","issn_l":"1472-6920","issn":["1472-6920"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Education","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s12909-026-10803-9","doi":"https://doi.org/10.1186/s12909-026-10803-9","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12909-026-10803-9","pdf_url":null,"source":{"id":"https://openalex.org/S144187503","display_name":"BMC Medical Education","issn_l":"1472-6920","issn":["1472-6920"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Education","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9391000270843506,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.6164000034332275,"display_name":"Quality education","id":"https://metadata.un.org/sdg/4"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2883528758","https://openalex.org/W3101345298","https://openalex.org/W188415185","https://openalex.org/W4409775674","https://openalex.org/W3012334169","https://openalex.org/W4386548701","https://openalex.org/W2261894500","https://openalex.org/W3117822902","https://openalex.org/W4285744917","https://openalex.org/W2768082159"],"abstract_inverted_index":{"The":[0,138,158,184],"increasing":[1],"complexity":[2],"of":[3,47,79,141,153,168,193,213],"healthcare":[4],"delivery":[5],"and":[6,20,26,45,59,114,135,178,206,231,247,261,273],"nursing":[7],"care":[8],"necessitates":[9],"continuous":[10],"attention":[11],"to":[12,41,276],"professional":[13,28,61,208,249],"competencies":[14,29],"among":[15],"nurses.":[16],"Understanding":[17],"nurses\u2019":[18,229],"attitudes":[19,44,230,242,279],"practices":[21,46,233],"regarding":[22,55,118],"methods":[23,56,203,244],"for":[24,32,57,204,245,266],"maintaining":[25,58,205,246],"upgrading":[27],"is":[30],"essential":[31],"designing":[33],"effective":[34,281],"continuing":[35],"education":[36],"programs.":[37],"This":[38,63,257],"study":[39,65],"aimed":[40],"determine":[42],"the":[43,264],"nurses":[48,70,182,214,239],"working":[49],"in":[50,53,72,170,218],"teaching":[51],"hospitals":[52],"Iran,":[54],"enhancing":[60,207,248],"competence.":[62,209],"cross-sectional":[64],"was":[66,143,188,226],"conducted":[67],"with":[68,76,148],"189":[69],"employed":[71],"clinical":[73],"centers":[74],"affiliated":[75],"Guilan":[77],"University":[78],"Medical":[80],"Sciences.":[81],"Participants":[82],"were":[83,89,122,160],"selected":[84],"through":[85],"convenience":[86],"sampling.":[87],"Data":[88,121],"collected":[90],"using":[91,124],"a":[92,107,149,166,194,198],"three-part":[93],"questionnaire":[94],"comprising:":[95],"(1)":[96],"demographic":[97],"characteristics,":[98],"(2)":[99],"an":[100],"attitude":[101,186,201,260],"assessment":[102],"scale":[103],"(20":[104],"items":[105],"on":[106],"7-point":[108],"Likert":[109],"scale,":[110],"score":[111,187],"range":[112],"20\u2013140),":[113],"(3)":[115],"three":[116],"questions":[117],"practice":[119,217,253,262],"assessment.":[120],"analyzed":[123],"SPSS":[125],"version":[126],"21,":[127],"employing":[128],"descriptive":[129],"statistics,":[130],"independent":[131],"t-tests,":[132],"One-Way":[133],"ANOVA,":[134],"chi-square":[136],"tests.":[137],"mean":[139,150,185],"age":[140],"participants":[142],"33.2":[144],"\u00b1":[145,155,190],"7.3":[146],"years,":[147],"work":[151],"experience":[152],"8.7":[154],"5.5":[156],"years.":[157],"majority":[159],"female":[161],"(68.3%),":[162],"married":[163],"(67.2%),":[164],"held":[165,240],"Bachelor":[167],"Science":[169],"Nursing":[171],"(90.5%),":[172],"had":[173],"formal":[174],"employment":[175],"status":[176],"(39.2%),":[177],"worked":[179],"as":[180],"staff":[181],"(95.8%).":[183],"105.32":[189],"16.43":[191],"(out":[192],"possible":[195],"140),":[196],"indicating":[197],"generally":[199],"positive":[200,278],"toward":[202,243],"However,":[210],"only":[211],"37.6%":[212],"demonstrated":[215],"good":[216],"utilizing":[219],"these":[220],"methods.":[221],"No":[222],"statistically":[223],"significant":[224],"relationship":[225],"found":[227],"between":[228,259],"their":[232,251],"(":[234],"P":[235],"=":[236],"0.968).":[237],"While":[238],"favorable":[241],"competence,":[250],"actual":[252],"lagged":[254],"significantly":[255],"behind.":[256],"gap":[258],"highlights":[263],"need":[265],"more":[267],"targeted":[268],"educational":[269],"planning,":[270],"organizational":[271],"support,":[272],"systemic":[274],"interventions":[275],"translate":[277],"into":[280],"competence-enhancing":[282],"behaviors.":[283]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-11-07T00:00:00"}
